Individual provider · Type 1 NPI

Kimberly Lynn Tiller, PA-C

Physician Assistant · Edwardsville, IL

NPI number 1467930883 Active

Practice location

2122 Troy Rd Ste 130
Edwardsville, IL 62025-2540

Call (618) 800-4500 Map

Other practice locations

  • 4500 Memorial Dr, Belleville, IL 62226-5360 · (618) 233-7750

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.006897 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467930883

Kimberly Lynn Tiller, PA-C's National Provider Identifier is 1467930883, issued on Jul 30, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edwardsville, IL. The record was last updated on Aug 2, 2022.